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injections after c section

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Forum Name: C-Section Support
Forum Description: Had a caesarian section? Planning an elective caesar? Or a VBAC? Or want to know about recovering from a c-section? Talk to other mums who have had c-section deliveries here.
URL: https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=31020
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Topic: injections after c section
Posted By: ElfsMum
Subject: injections after c section
Date Posted: 18 January 2010 at 11:08am
talked to OB today and he said everyone should have them no exceptions..but that a few years ago if it was an elective they didnt do them..but now everyone must have the injections apparently..so interesting!

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Mum to two amazing boys!



Replies:
Posted By: FreeSpirit
Date Posted: 18 January 2010 at 11:33am
Thats interesting - whats the injection and when is it normally done?? I had an emergency c/s and no injections that I remember...


Posted By: toniellis
Date Posted: 18 January 2010 at 11:40am
Didn't have injections for either of my 2 c-sections that I can remember?
What are they for?

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Mum to Alex (11), Blaire (10) & Erika (8) and Damien (6)

Successful HWB VBA2Cs!
Soon to be surrogate


Posted By: mummyofprinces
Date Posted: 18 January 2010 at 11:46am
anti clotting i still dont remember but i am requesting my notes so will check.

thanks ka

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Posted By: Freesia
Date Posted: 18 January 2010 at 12:07pm
Thanks KA, I don't think I got them either and had no idea about them until everyone started talking about it on here.

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Posted By: X
Date Posted: 18 January 2010 at 12:18pm
No injections here either & mine was emergency. Strange!

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http://lilypie.com"> http://lilypie.com">


Posted By: toniellis
Date Posted: 18 January 2010 at 12:27pm
When do they give them?
I don't think I would have noticed when I was on the operating table so if they were given then, then I might have had them without knowing?
I had my c-sections (both emergency ones) in '04 (North Shore Hospital) and '06 (Waikato Hospital)....

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Mum to Alex (11), Blaire (10) & Erika (8) and Damien (6)

Successful HWB VBA2Cs!
Soon to be surrogate


Posted By: cuppatea
Date Posted: 18 January 2010 at 12:42pm
I had mine for 5 days, first one roughly 12 hours after c/s and thereafter 24 hourly, I was given an extra one "may as well as you're still here" was what the mw said (we were kept in longer cos Spencer had jaundice). And yep it is an anti clotting drug because the surgery increases your risk of having a blood clot go to your heart or brain (I know the word for that but no idea how to spell it), it was something that the aneasthetist went over in great detail and part of what you have to sign when you consent to the surgery.

I wouldn't think you would have them without knowing cos it's 4 jabs over 4 days and they are in the tummy and freakin hurt.

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Posted By: Freesia
Date Posted: 18 January 2010 at 1:02pm
I had to wear those pressure stocking things and had to do exercises for my legs/toes while I was there to help with clots but that's the extent of it I think.

I hate needles so I'm sure I would've remembered if I'd had them. They don't do it via IV lines if you have those in do they?

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Posted By: cuppatea
Date Posted: 18 January 2010 at 1:07pm
No cos you wouldn't have them in for 4 days and I had IV lines in, even still had them when they gave the first injection.

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Posted By: ElfsMum
Date Posted: 18 January 2010 at 2:20pm
exactly what cuppatea said..anti clotting(they talked a lot about ti to me cause i lost a reasonable amount of blood) i specifically asked and he said everyone should have them.. though i have to wait till 39 weeks for c section not everyone has to do that:(!!!

heparin or something? yeah they always do them in tummy... he was very surprised i didnt have stockings last time.. he looked very surprised that some people i know didnt have them but said that about the last few years(changed rules) in between the fire alarm testing that was going on while he was talking lol!:)

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Mum to two amazing boys!


Posted By: palomino
Date Posted: 18 January 2010 at 2:40pm
Yea those random injections. So strange that some of us had them and some didnt. I had them for 4 days in the evenings.


Posted By: mamanee
Date Posted: 18 January 2010 at 4:40pm
I had them after my emergency c-section with Jamie, I believe they are Clexane, but don't quote me on that one! I think I was given either two or three.   I was so groggy for the first few days I don't remember!    They stung a bit but I didn't care after my horrible labour.

I didn't have them after my elective c-section with Sam, so not sure if that makes a difference.   Although it could just be a recent thing?   It's been over 2.5 years since I had Sam.

Oh and I had to wear the pressure stockings this time and I didn't the first time.


Posted By: Babykatnz
Date Posted: 18 January 2010 at 6:21pm
I didnt have them, but I'd lost quite a lot of blood (they were humming and haa-iing about a blood transfusion the full 3.5 days I was in hospital, and couldnt understand how I could stay standing up given my haem levels!) so I'm guessing anti-clotting agents would have just increased the blood loss?

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Brandon - 05/12/2003




Posted By: peanut butter
Date Posted: 18 January 2010 at 7:50pm
I didnt have them but I was given stern words from one of the hospital MWs to keep my stockings on!


Posted By: cuppatea
Date Posted: 18 January 2010 at 8:12pm
Never had the stockings, shame cos they are probably just the thing to make you feel real sexy after giving birth

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Posted By: peanut butter
Date Posted: 18 January 2010 at 8:49pm
oh yeah!!!! Lovely white stockings that come right up to the top of your leg........men with school girl fetishes would probably quite like them. I did not! Not in January, in a hospital with no AC.....very hot and sticky.


Posted By: palomino
Date Posted: 18 January 2010 at 9:07pm
spesh if you have a reaction to morphine and are so blimmen itchy and you just want to scratch your legs but stupid stockings are in the way argh!


Posted By: noodle
Date Posted: 18 January 2010 at 9:33pm
I didn't have any injections either after my emergency CS and had no idea about them until I opened this thread! I did got told off by the nurse for asking if I could take the stockings off, I think they only let me take them off the afternoon I was discharged lol

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http://lilypie.com">
http://lilypie.com">


Posted By: Manda08
Date Posted: 18 January 2010 at 9:37pm
Ha the stockings, i hated them sooo much, it was still pretty hot in March... i got them off around day 2. By yeah i got the jabs for 5 days, and i had a transfusion. Strange some dont have them, although lucky is another word that comes to mind! I was crying so much on the 5th day begging for her to let me go with out it! I didnt succeed!

Thanks for finding out KA

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Posted By: littleLittle
Date Posted: 18 January 2010 at 9:47pm
I don't recall having the injections either and I'm sure I'd remember a jab in my stomach for a few days after!! I didn't have to wear stockings either. Is it something that everyone is supposed to have or only if you're at a high risk of something??

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http://lilypie.com">


Posted By: toniellis
Date Posted: 18 January 2010 at 9:59pm
Okay, well if they give you injections in your tummy over the space of 4 days then I DEFINITELY didn't have them! And no sexy stocking either....

Weird I reckon. I dunno what the difference would be to having or not having the injections??
Maybe it is a newish thing? Alex is 5 & Blaire is coming up to 4 so maybe the anti clotting injection came in after that time??
I know I had a bit of difference just between my boys.
With Alex I had a morphine pump straight after the surgery that I could push a button for pain every 5mins & I also had dissolvable stitches.
With Blaire I had slow release morphine tabs to take after the surgery instead of the pump (much better!) and I also had staples instead of stitches

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Mum to Alex (11), Blaire (10) & Erika (8) and Damien (6)

Successful HWB VBA2Cs!
Soon to be surrogate


Posted By: cuppatea
Date Posted: 18 January 2010 at 10:12pm
I had the morphine pump (didn't much use it though as it didn't seem to do anything apart from make me itchy), I don't know if i had stitches or not, how terrible is that, I didn't need to have anything taken out and all that seemed to be holding my outside skin together was a bit of tape, so maybe I had dissolvable stitches? I had the injections but no sexy stockings. My c/s was 2.5 years ago.

I would also guess that maybe some hospitals are quicker to change protocols than others?

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Posted By: noodle
Date Posted: 18 January 2010 at 10:34pm
I had the morphine pump too but didn't use it morphine just makes me sick, my CS was 13months ago so dont know what happened to my injections...must dig out my notes and see if it says anything on there, but i definatly had no injections for the days after...strange how some people get them and others dont

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http://lilypie.com">
http://lilypie.com">


Posted By: lilfatty
Date Posted: 19 January 2010 at 7:42am
I had the stockings and the injections after both cs (first emergency, second elective).

I only recall one jab though .. they were given to me in the night so I was usually half asleep, but I remember one because I was awake with Elias.

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Mummy to Issy (3) and Elias (18 months)

I did it .. 41 kgs gone! From flab to fab in under a year http://www.femininefitness.co.nz/category/blog - LFs weight blog


Posted By: Bizzy
Date Posted: 19 January 2010 at 8:39am
clexane, had them and the stockings.

i think that the larger you are the more likely you are to have them. clotting seems to be more of an issue for bigger lasses! (from the hospital viewpoint)

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http://www.myfitnesspal.com/weight-loss-ticker">


Posted By: FreeSpirit
Date Posted: 19 January 2010 at 8:45am
I had the stockings, but no injections - I was in two different hospitals in the first 4 days and they couldn't even keep track of my pain meds though....


Posted By: cuppatea
Date Posted: 19 January 2010 at 8:51am
Originally posted by Bizzy Bizzy wrote:

clexane, had them and the stockings.

i think that the larger you are the more likely you are to have them. clotting seems to be more of an issue for bigger lasses! (from the hospital viewpoint)


I was only 65kg when I gave birth to Spencer (normally sit around 57kg), so it wouldn't have been that with me.

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Posted By: X
Date Posted: 19 January 2010 at 9:03am
I had no injections, but I did have the stockings for the rest of the day. I had a morphine pump & I had staples.

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http://lilypie.com"> http://lilypie.com">


Posted By: peanut butter
Date Posted: 19 January 2010 at 9:12am
no morphine pump, no staples. My stitches were disolvable. I had a dressing over top that stayed on for 2 weeks or until it fell off.


Posted By: ElfsMum
Date Posted: 19 January 2010 at 1:03pm
bizarre i had no stockings....

! i had very low platelets and a lot of blood loss(1000mls) and that was partly why it was so important apparently.. which sounds backwards to me!:)

i had the tape too...yeah he said its changed in the last 2 years.. i had the pump

i asked him if everyone has them and he said yes everyone should.. ?so weird!

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Mum to two amazing boys!


Posted By: Imogen
Date Posted: 19 January 2010 at 3:01pm
With my first section I had disolvable stiches with a dressing that was changed daily. Had the clexane injections and the stockings. Had the morphine pump for the first 24hrs or so and then went onto the slow release tablets. This was in Feb 2007 at National Womans

With my second section I had staples with a waterproof dressing that wasn't taken off till one week post op. Had the clexane injections and stockings again. Only had the morphine pump for about 8 hours then went on to the slow release tablets. This was in Dec 2009 at North Shore.

Funny how there is a standard way of doing things. I asked my MW about stitches vs staples and she said that it usually depends on the surgeon. Staples are quicker. I found that I healed much better with the staples. My wound was completely healed from the outside by the time the dressing was taken off and the staples removed. And there was pretty much no pain in the actual wound....the surrounding area was another story however!

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Proud mummy to two beautiful little girls and a precious little boy <3


Posted By: mummyofprinces
Date Posted: 20 January 2010 at 12:10am
Stitching etc is based on the surgeon. I has stitches but internally and tied on the outside. Its hard to explain but my mw had never seen it and thought she had to pull them out.. after a few tugs a begged her to ring and ask as I was SURE the surgeon said just to snip the knots.

Thank god she did ring as I was right, phew! She was trying to pull out one large continuos sewn stitch.

Very rare but i have a great scar (and it took blarrdy ages to be sewn up, but apparently less scar tissue).

I had the pump until it ran sometime within the first 24 hours then slow release tabs also at NSH...

Mine was an emergency section.. but not crash and I had PE very low platelets too.

The stockings were lovely, they even suggested I take them home and keep wearing them for a few more days

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Posted By: Freesia
Date Posted: 20 January 2010 at 7:21am
We might've had the same surgeon melnel. You couldn't see my stitches externally either and there were two ball type things at each edge where it was tied off. To remove it the mw just snipped the ends off and pulled it through it one go. It was a weird uncomfortable feeling but didn't hurt. My scar is really minimal also.

I had the morphine pump too but only used it once when the nurse was showing me how to use it. I was fine on the other meds they gave me and got told off because I wasn't taking the panadol consistantly (I thought I was just supposed to take it if I got sore )

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Posted By: ElfsMum
Date Posted: 20 January 2010 at 2:06pm
i just kept pressing morphine button..lol this time will be better hopefully..so what are the heparin he was talking about ,....i thought that was the injection..is that something else?

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Mum to two amazing boys!


Posted By: cuppatea
Date Posted: 20 January 2010 at 2:26pm
ok just searched it, heparin is an anticoagulant (anti clotting) and clexane is a make of drug that contains heparin.

KA the morphine pump thing only lets you have morphine at set intervals (I think 5 mins minimum) and only 4 shots an hour (I think it was 4, you will need to check) so if you press the button before the time interval is up, or more times than you are allowed in an hour it does diddly squat cos it doesn't actually give you the morphine.

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Posted By: mummyofprinces
Date Posted: 20 January 2010 at 5:25pm
sounds similiar freesia but there was nothing to pull out just snipped the knots off the end.. think it was disolvable..

it was a women, cant remember her name only that she wore a head scarf and was short LOL remember the aneathetist name though Michael Nyugen (and he is scrummy).

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Posted By: ElfsMum
Date Posted: 20 January 2010 at 6:19pm
Originally posted by cuppatea cuppatea wrote:

ok just searched it, heparin is an anticoagulant (anti clotting) and clexane is a make of drug that contains heparin.

KA the morphine pump thing only lets you have morphine at set intervals (I think 5 mins minimum) and only 4 shots an hour (I think it was 4, you will need to check) so if you press the button before the time interval is up, or more times than you are allowed in an hour it does diddly squat cos it doesn't actually give you the morphine.


yeah i know..:) but i felt like i was doing something..she said every five mins but i am pretty sure you were right..kinda like i wanted to suck the gas even after it was switched off.. just made me feel like i as getting relief..they took it away after not that long cause ti was making me sick.. (next morning?he was born 830pm) lucky not like Dad who pukes when he has it!

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Mum to two amazing boys!


Posted By: Freesia
Date Posted: 20 January 2010 at 7:28pm
Melnel, I had an older male doctor do the surgery and I'm fairly sure my midwife actually pulled some stitches out. I had a different anaesthetist but he was scrummy too

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Posted By: Bobbie
Date Posted: 21 January 2010 at 11:59am
My ones were like Melnel's - knots at the end and dissolvable. No staples internally either- my OB did stitches. I know because I asked him because I was fascinated with the whole thing.

The anti-clotting must have been administered by IV because I definitely didn't get injections either time.

Had a spinal block first time and epi the second but I was hooked up to the morphine pump with both. Then once it ran out onto the slow release morphine.

And yes I had to wear the sexy stocking socks too. I managed to take them off without being told off on day 2 when I had my shower though.

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Posted By: ElfsMum
Date Posted: 21 January 2010 at 1:02pm
they cant put it in iv.... as far as i know..im def going to ask at my appt on the 3rd with anesthetist

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Mum to two amazing boys!


Posted By: Febgirl
Date Posted: 21 January 2010 at 8:09pm
Originally posted by Imogen Imogen wrote:


With my second section I had staples with a waterproof dressing that wasn't taken off till one week post op. Had the clexane injections and stockings again. Only had the morphine pump for about 8 hours then went on to the slow release tablets. This was in Dec 2009 at North Shore.



Same here - think I was in the week before Imogen. Have to say my scar has healed perfectly, I was expecting a big raised, wonky scar (like what your cat looks like after they've been speyed! ) but it's just an extremely narrow red line, not raised at all, just looks like a wrinkle. Mine was emergency c-section too.

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Two little girls under 2!



Posted By: peachy
Date Posted: 21 January 2010 at 8:32pm
I had the disolvable stitches with a knot at one end. I had a massive hemotoma (sp?) where they cut me which they were more concerned about than my cut    It was about the size of a foot print, looked delightful!!!!

2 years on I have a very very faint line that is not even 2 inches long. You can't even see it unless I point it out to someone (have shown a few girlfriends that were lucky enough to have natural births)!

Can anyone else feel the scar tissue on their abdominal muscles underneath your skin? Such a weird feeling and it grosses me out!!

As for the injections, I never had those (think I have already said that though) and I had low platelet levels and lost 800mls of blood during my c section.

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http://lilypie.com"> http://lilypie.com">


Posted By: cuppatea
Date Posted: 21 January 2010 at 10:02pm
I never had slow realise morphine, just the pump, which they took off my 6 hours after his birth cos I wasn't using it and then voltaren, codiene and panadol. I stopped taking the voltaren and codiene though cos something made me spew and I thought either of those might be the culprit and I would rather a bit of pain than puking so badly that they had to give me another drug to stop me puking.

I can't feel any scar tissue at all. My mw with Kyle was amazed at how tidy my scar is and you can barely see it, just a very thin faint line. She asked how did the surgery and I said "some guy who was talking about his holiday instead of concentrating on cutting me open"

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Posted By: toniellis
Date Posted: 24 January 2010 at 1:13pm
I had a hideous scar from my first c-section. With my 2nd c-section it just healed exactly the same. I'm just relieved that it is really low down & hidden

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Mum to Alex (11), Blaire (10) & Erika (8) and Damien (6)

Successful HWB VBA2Cs!
Soon to be surrogate


Posted By: ElfsMum
Date Posted: 24 January 2010 at 6:42pm
i am lucky scar wise...just a tiny red line..no scar tissue behind it..

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Mum to two amazing boys!


Posted By: X
Date Posted: 25 January 2010 at 6:49pm
Originally posted by Four_eyes Four_eyes wrote:

i am lucky scar wise...just a tiny red line..no scar tissue behind it..


Me too thank goodness


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http://lilypie.com"> http://lilypie.com">


Posted By: fallen
Date Posted: 29 January 2010 at 9:44pm
Wow things are very different between surgeons and hospitals!!

I had my first c/s in 1998, an emergency. Had an epidural, no stockings, no injections, a delightful drain that was removed the next night , internal stitches that dissolved. Pain relief were panadol suppositories, tablets and voltaren tablets. None of this morphine business! I was allowed out of bed the next morning, helped to the shower and the nurse left me to it. I ended up flaked out on the floor of the shower, was discovered by my friend's midwife who'd come to say hi.

Second c/s in August, elective this time. Same hospital. Had a spinal, the sexy stocking until I went home, injections the first two nights (stayed 3), dissolvable stitches again, no drain this time (YAY!!!). Had the morphine pump until 10am the next morning, then the tablets for maybe another 24 hours but refused them after I started seeing spiders on the walls and bed. Also got fed panadol and ibuprofen regularly. I insisted DF was there when I went for my first shower because I was scared of flaking again. This time the midwife stayed in the bathroom with me, she said she had to stay. It was fine until some really large clots fell out and I got dizzy. Next thing there were several midwives in there plus DF. Didn't end up on the floor this time so all good.

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Posted By: mummyofprinces
Date Posted: 29 January 2010 at 10:20pm
Oh I forgot about the drain I had one too... that has to be the biggest driving force to having a vbac I can still remember having that removed.

I have requested my notes so looking forward to them arriving and finding out if those injections have been wiped from my memory!

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